# MED CENTER CHIROPRACTIC REHAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033534706
- **Authorized official:** TODD ALEXANDER BLACK (PRESIDENT)
- **Authorized official phone:** (502) 804-3344

## Contact information

- **Practice address:** 8006 SHEPHERDSVILLE RD, LOUISVILLE, KY 40219-4050
- **Practice address phone:** (502) 804-3344
- **Mailing address:** 8006 SHEPHERDSVILLE RD, LOUISVILLE, KY 40219-4050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2014
- **Last updated:** 03/04/2014